Provider Demographics
NPI:1235407826
Name:HEALTHWISE HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:HEALTHWISE HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ENRICO
Authorized Official - Middle Name:P
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:USN RETIRED
Authorized Official - Phone:619-243-9751
Mailing Address - Street 1:1615 SWEETWATER RD STE I
Mailing Address - Street 2:
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-7668
Mailing Address - Country:US
Mailing Address - Phone:619-474-4699
Mailing Address - Fax:
Practice Address - Street 1:1615 SWEETWATER RD STE I
Practice Address - Street 2:
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-7668
Practice Address - Country:US
Practice Address - Phone:619-474-4699
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-09
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health